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Centre for Policy on Ageing | |
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New horizons in the implementation and research of comprehensive geriatric assessment
— knowing, doing and the know-do gap | | Author(s) | John R F Gladman, Simon Paul Conroy, Anette Hylen Ranhoff |
| Journal title | Age and Ageing, vol 45, no 2, March 2016 |
| Publisher | Oxford University Press, March 2016 |
| Pages | pp 194-200 |
| Source | www.ageing.oxfordjournals.org |
| Keywords | Health [elderly] ; Needs [elderly] ; Evaluation ; Research. |
| Annotation | In this paper the authors outline the relationship between the need to put existing applied health research knowledge into practice (the `know-do gap') and the need to improve the evidence base (the `know gap') with respect to the healthcare process used for older people with frailty. This is known as the comprehensive geriatric assessment (CGA), a multi-dimensional, interdisciplinary diagnostic process to determine the medical, psychological and functional capabilities of a frail older person, followed by the implementation of a co-ordinated plan for treatment and follow-up. The authors explore the reasons for the know-do gap and the principles of how these barriers to implementation might be overcome. They explore how these principles should affect the conduct of applied health research to close the know gap. It is proposed that impaired flow of knowledge is an important contributory factor in the failure to implement evidence-based practice in CGA; this could be addressed through specific knowledge mobilisation techniques. Implementation failures are also produced by an inadequate evidence base that requires the co-production of research, addressing not only effectiveness but also the feasibility and acceptability of new services, the educational needs of practitioners, the organisational requirements of services and the contribution made by policy. Only by tackling these issues in concert and appropriate proportion, will the know and know-do gaps for CGA be closed. (JL). |
| Accession Number | CPA-160805209 A |
| Classmark | CC: IK: 4C: 3A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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